Rich Daly
About the Author
Rich Daly is senior editor, policy affairs with HFMA, based in Alabama. His healthcare policy and finance reporting experience includes staff writer positions with Modern Healthcare and Congressional Quarterly (both focused on healthcare regulatory and legislative developments); editor-in-chief of 340B Report (the only news outlet focused on daily policy, legal, and business developments in the 340B program); and serving as a content director for Sg2/Vizient Inc (producing reports on financial pain points and solutions for health systems). He previously covered daily news for HFMA and wrote features for Healthcare Financial Management magazine, where his recognitions included the Stephen Barr Award (the only individual achievement award) from the American Society of Business Publication Editors.
Latest Work
States overhaul certificate-of-need laws
States have advanced a range of reforms to their certificate-of-need (CON) laws amid federal pressure to weaken or eliminate them. The highest-profile change, so far this year, was Tennessee’s April 16 passage of a bill (SB1369) to repeal its CON requirements for acute care hospitals. CON requirements for most acute care hospitals in the state…
Flagged hospitals say they are not financially endangered
Some of the hospitals listed as at risk of closing due to coming federal Medicaid cuts reject that assessment. The left-leaning advocacy group, Public Citizen, wrote in a March 31 report that 446 hospitals “are at heightened risk of closing or reducing services due to Medicaid cuts.” The widely covered report was based on its…
Hospitals, insurers clash on 340B rebate costs
Hospitals and insurers both urged federal regulators to ignore the cost projections of the other side in their comments on a coming redux of a 340B rebate model. The comments came in response to a request for information (RFI) from the Health Resources and Services Administration (HRSA) seeking input on whether and how to implement…
FastFinance: Medicaid administrative burdens; Cost cutting plans for 2026
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Hospitals and health systems are facing Medicaid administrative burdens as states scramble to upgrade their programs ahead of OBBBA. Also, this week’s Weird Number: 49.5%. That’s the combined percentage of top…
Medicaid administrative burden hits providers
Administrative burden is one of the strongest predictors of whether providers remain in Medicaid, according to a recent provider survey. Overall, 28% of providers report dissatisfaction with Medicaid administrative processes, and only 51% say they are satisfied, according to the survey from Gainwell Technologies, a Medicaid program consulting firm. The findings point to a growing…
Federal 340B overhaul bill unlikely this year
A bipartisan Senate effort at 340B program reform is likely dead this Congress, according to lobbyists and policy watchers. The so-called gang of six group of senators has been working on an overhaul of the program since 2024 that aims to address concerns of both providers and drugmakers. However, that effort has not advanced beyond…
States boost Medicaid budgets as enrollments decline
Amid ongoing and projected Medicaid enrollment decreases, most states are boosting their Medicaid budget proposals. Nationally, Medicaid enrollment is shrinking. From December 2024 to December 2025, national Medicaid and CHIP enrollment has decreased 4%, from 78.9 million to 75.7 million, according to CMS. That has continued into 2026, with Wells Fargo analysts reporting a 2%…
FastFinance: Health system capex plans; Medicare IPPS impacts
HFMA’s FastFinance newsletter is now a podcast. Host Rich Daly discusses the most current and relevant healthcare news, delivered in an easily digestible format. Hospitals and health systems are dialing back their capex in 2026 and changing where those dollars flow. Learn the details and what they mean. Also, this week’s Weird Number: 34.9% is…
Growth projects lead amid reduced capex
Even as health systems reduce their capital investment, they’re focusing greater shares of funds on expansion efforts, according to a recent survey. Health system and hospital capital investments are declining and few are expecting significant increases in the next two years, according to a Sage Growth Partners survey of 101 health system and hospital executives.…
Hospitals see danger to SDPs in fraud fight
Hospitals are worried that a coming Trump administration fraud-fighting effort will go after Medicaid state-directed payments (SDPs). The concern was raised by various hospital advocates responding to the administration’s solicitation for targets in its coming anti-fraud regulations, called the Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH). That request for information (RFI) specifically asked about fraud-fighting…